Organization
SHAWN M KURTZ OD PLLC
Active
Other names
Retrospecs Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M KURTZ OD (MANAGIBG MEMEBR)
(509) 576-4292
Entity
Organization
Contact information
Practice address
208 S 72ND AVE STE 100, YAKIMA, WA 98908-1600
(509) 576-4292
(509) 966-3303
Mailing address
208 S 72ND AVE STE 100, YAKIMA, WA 98908-1600
(509) 576-4292
(509) 966-3303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028132
—
WA
Enumeration date
04/08/2008
Last updated
10/24/2008
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